National Provider Identifier [NPI]: |
1558361980 |
Last Name Of The Provider |
APOLLON |
First Name Of The Provider |
GERALD |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
826 WASHINGTON RD |
Street Address 2 Of The Provider |
SUITE 110A |
City Of The Provider |
WESTMINSTER |
Zip Code Of The Provider |
211575750 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
148 |
Number Of Services |
4325 |
Number Of Medicare Beneficiaries |
1511 |
Total Submitted Charge Amount |
628397.19 |
Total Medicare Allowed Amount |
344396.93 |
Total Medicare Payment Amount |
252611.61 |
Total Medicare Standardized Payment Amount |
246898.76 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
19 |
Number Of Drug Services |
444 |
Number Of Medicare Beneficiaries With Drug Services |
195 |
Total Drug Submitted ChargeAmount |
8732 |
Total Drug Medicare AllowedAmount |
1250.75 |
Total Drug Medicare PaymentAmount |
974.34 |
Total Drug Medicare Standardized Payment Amount |
974.34 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
129 |
Number Of Medical Services |
3881 |
Number Of Medicare Beneficiaries With Medical Services |
1511 |
Total Medical Submitted Charge Amount |
619665.19 |
Total Medical Medicare Allowed Amount |
343146.18 |
Total Medical Medicare Payment Amount |
251637.27 |
Total Medical Medicare Standardized Payment Amount |
245924.42 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
379 |
Number Of Beneficiaries Age 65 to 74 |
649 |
Number Of Beneficiaries Age 75 to 84 |
326 |
Number Of Beneficiaries Age Greater 84 |
157 |
Number Of Female Beneficiaries |
1025 |
Number Of Male Beneficiaries |
486 |
Number Of Non Hispanic White Beneficiaries |
1374 |
Number Of Black or African American Beneficiaries |
91 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1145 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
366 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0458 |